Special Forum
Annual review of clinical research on extracorporeal life support in 2023
Zhang Hongling, Yu Yuan, Chen Dechang, Shang You
Published 2024-02-28
Cite as Chin Crit Care Med, 2024, 36(2): 118-123. DOI: 10.3760/cma.j.cn121430-20231204-01038
Abstract
The clinical research in the field of extracorporeal life support (ECLS) in 2023 has focused on the efficacy of veno-arterial extracorporeal membrane oxygenation (ECMO) in patients with infarct-related cardiogenic shock. Additionally, the research also explored the efficacy of prone positioning during veno-venous ECMO, transfusion strategies, and the impact of obesity on outcomes. Awake veno-venous ECMO has shown novel therapeutic potential, but its optimal practice methods and management strategies remain to be determined. In in-hospital cardiac arrest patients, extracorporeal cardiopulmonary resuscitation has demonstrated higher survival rates and better neurological recovery compared to conventional cardiopulmonary resuscitation. The effectiveness of extracorporeal carbon dioxide removal varies among patients with different types of respiratory failure. Future research should focus on optimizing the application strategies and process management of ECLS technologies, investigating personalized therapy, and studying how to improve long-term rehabilitation and quality of life for survivors.
Key words:
Extracorporeal life support; Veno-arterial extracorporeal membrane oxygenation; Veno-venous extracorporeal membrane oxygenation; Extracorporeal cardiopulmonary resuscitation; Extracorporeal carbon dioxide removal; Clinical outcome
Contributor Information
Zhang Hongling
Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei, China
Yu Yuan
Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei, China
Chen Dechang
Department of Critical Care Medicine, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201800, China
Shang You
Department of Critical Care Medicine, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, Hubei, China